Elizabeth L Pethtel (NPI# 1043386717, PAC ID# 2466641154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043386717 |
| PAC ID by PECOS | 2466641154 |
| Professional Enrollment ID | I20110111000912 |
| Full Name | Elizabeth L Pethtel |
| Organization Legal Name | MEDFORD WOMENS CLINIC LLP |
| Address |
3170 State St Medford OR 97504-8450 |
| Phone Number | 5418648900 |
| Gender | F |
| Graduation Year | 1985 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254326259 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| 380075 | PROVIDENCE MEDFORD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3170 State St, Medford, OR 97504-8450 | 5418648900 | MEDFORD WOMENS CLINIC LLP |
| Organization Legal Name | MEDFORD WOMENS CLINIC LLP |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carissa M Ross | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Julie A King | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Emily S Steinbis | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Mary H Strizzi | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Jonathan C Freeman | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Kathryn P Stringer | Nurse Practitioner | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Kimberly D Larson | Nurse Practitioner | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Beverly F Fuller | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Street Address |
3170 STATE ST |
| City | MEDFORD |
| State | OR |
| Zip | 97504-8450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carissa M Ross | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Julie A King | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Emily S Steinbis | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Mary H Strizzi | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Jonathan C Freeman | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Kathryn P Stringer | Nurse Practitioner | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Kimberly D Larson | Nurse Practitioner | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Beverly F Fuller | Obstetrics/gynecology | Medford Womens Clinic LLP | 3170 State St, Medford, OR 97504-8450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MEDFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elizabeth L Pethtel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.